The nurse is caring for a 12-year-old patient who complains of ear pain to the right ear for four days. Pain rated 7/10 on the numerical scale. Temperature is 99.9°F (37.7°C), pulse is 87, blood pressure is 115/64, oxygen saturation is 100 percent on room air.

Scenario update: The external auditory canal is clear and not reddened. The tympanic membrane is bulging and red. The patient reports having had reoccurring ear infections since childhood.

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A patient presents to the doctor complaining of a sore throat for the past three days. Upon physical assessment, the nurse notes the patient’s throat is red, tonsils measure grade 3+, and voice is hoarse. Pertinent past medical history includes strep throat, tonsillectomy, and seasonal allergies.

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